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SHIFT: Day (United States of America)
Seeking Breakthrough Makers
Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.
At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.
CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.
A Brief Overview
Reporting to the Director of Patient Financial Services, the Manager of Patient Financial Services plays a key leadership role in overseeing collection operations for both the hospital and CHOP physician practices. This position is responsible for driving strong financial outcomes by ensuring effective, compliant, and efficient patient financial services processes. The Manager leads a team focused primarily on commercial payors-including Blue Cross, Aetna, and Cigna-as well as government payors such as TRICARE and Medicare. This role provides direct oversight of 2 Supervisors, 1 Team Lead, 2 Specialists, and an additional team of approximately 12 staff members, fostering a high-performing and accountable work environment. The Manager will stay current on payer contracts, regulatory changes, and industry trends that impact reimbursement, leveraging this knowledge to optimize collections performance. This leader will proactively identify, analyze, and resolve payer-related collection issues while driving team engagement and continuous improvement. In close partnership with Patient Access Services and Revenue Integrity teams, the Manager will help ensure seamless, end-to-end revenue cycle processes that enhance operational efficiency and support the organization's financial goals.
Why This Role Matters
This role is central to the financial health and sustainability of the organization. By ensuring accurate and timely reimbursement, the Manager of Patient Financial Services directly supports the ability to deliver high-quality patient care and invest in innovation. Through strong leadership and cross-functional collaboration, this role helps eliminate barriers in the revenue cycle, ensuring a smooth patient and provider experience while maximizing revenue integrity. The impact of this position extends beyond finance-it helps enable the broader mission of delivering exceptional care to patients and families.
What You'll Gain in This Role
This is an opportunity to make a meaningful impact while growing your leadership career in a complex and highly collaborative healthcare environment. In this role, you will:
- Expand your leadership influence by managing key operations and partnering with senior stakeholders across the revenue cycle
- Deepen your expertise in payer strategy, reimbursement, and regulatory trends
- Drive measurable impact by improving financial performance and operational efficiency
- Strengthen cross-functional collaboration skills through partnerships with Patient Access, Revenue Integrity, and other teams
- Build a pathway for career growth within a mission-driven organization dedicated to excellence in patient care
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Professional development: Gain a sponsored HFMA (Healthcare Financial Management Association) membership, providing access to industry-leading education, certifications, regulatory updates, networking opportunities, webinars, and best practices to stay at the forefront of healthcare finance and revenue cycle management
What you will do
- Provide leadership and strategic direction for collection functions.
- Monitors performance against cash targets and develops strategies to achieve goal
- Develop relationships with payor representatives to help speed resolution to adjudication problems. Follow up with third party payors includes addressing payment delays, under payments and contract set ups.
- Collaborates with Patient Access, Registration, Case Management, HIM, Audit & Compliance, Specialty Centers, Family Health Coverage Program and other areas of Patient Financial Services to ensure that revenue cycle flows efficiently and effectively.
- Performs other duties as assigned by the Director of Patient Financial Services Collections.
Work-Life Balance
- Hybrid schedule: Onsite Tuesdays; remote work the remainder of the week
- Standard hours: 8:00 AM - 5:00 PM
- Flexibility: Occasional onsite presence required for ad hoc meetings or business needs
Education Qualifications
- Bachelor's Degree Required
Experience Qualifications
- At least five (5) years work experience in a healthcare billing and Revenue Cycle environment Required
- At least three (3) years supervisory experience Required
Skills and Abilities
- Requires understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, product pricing, network and provider contracting, and utilization management.
- Must possess strong understanding of insurance billing & reimbursement procedures.
- Excellent interpersonal & communication skills, and demonstrated organizational and leadership abilities.
- Requires high level of analytical ability, and strong knowledge of system analysis and data gathering techniques.
- Ability to work independently towards specific goals and objectives and provide recommendations for improvement.
- Strong organizational and multi-tasking skills to apply toward high-priority assignments in order to meet established deadlines
- Proficient computing skills, specifically healthcare related billing platforms, MS Office Products. Reporting abilities through business objects, crystal reporting, etc. (EPIC experience preferred).
Licenses and Certifications
- Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association - within 6 months - Required or
- Certified Patient Financial Services Specialist - Hospital Business Institute - within 6 months - Required
To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.
EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE:
$98,820.00 - $126,000.00 Annually
Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- This job is eligible for an incentive program.
At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.
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